Organization
SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization
SOUTH GEORGIA NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY GEORGE GIATRAS M.D. (OWNER)
(229) 391-3390
Entity
Organization
Contact information
Practice address
907 18TH ST E STE 190, TIFTON, GA 31794-3600
(229) 391-3390
(229) 391-3399
Mailing address
907 18TH ST E STE 190, TIFTON, GA 31794-3600
(229) 391-3390
(229) 391-3399
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
GA042576
GA
2084N0600X
Clinical Neurophysiology Physician
Primary
GA042576
GA
Other
Enumeration date
12/21/2006
Last updated
01/09/2008
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